NPIMap

Organization Active NPI

Mary K. Beard MD

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
National Provider Identifier
1669617445
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
156053-1205 Issued in UT
Legal business name
MARY K. BEARD MD
Practice address
455 East South Temple
#202
Salt Lake City, UT 84111
Phone
(801) 355-9951
Fax
(801) 355-9968
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary K Beard, MD
Title
Owner
Phone
(801) 355-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 156053-1205 UT Primary

Addresses

Primary practice location

455 East South Temple
#202
Salt Lake City, UT 84111

Mailing address

455 East South Temple
#202
Salt Lake City, UT 84111
Phone (801) 355-9951

Other identifiers 1

IdentifierTypeStateIssuer
576-54-2779-043MedicaidUT

National Provider Directory

National Provider Directory

Locations

455 E South Temple
Ste 201
Salt Lake Cty, UT 84111
Phone (801) 355-9951

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1669617445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 EAST SOUTH TEMPLE",
            "address_2": "#202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84111",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EAST SOUTH TEMPLE",
            "address_2": "#202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84111",
            "telephone_number": "801-355-9951",
            "fax_number": "801-355-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K. BEARD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-355-9951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "156053-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576-54-2779-043",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.